Registered Nurses: A Case Study

While reflecting back on the previous weeks, I have to say that this was the foundational class for the FNP students. Before this class, I used to think how I am going to fulfill the role of a Nurse Practitioner (NP). This class helped me to better understand my role and gave me the confidence that I can fulfill the role of an NP. Today, when I look at myself, I know I am in the stage of advanced beginner in Patricia Benner’s Novice to expert theory. The case studies in the discussion threads really put me in the real world of practical nursing as an NP fulfilling the role of a provider. Thorough the case studies, I have learned how to make a best differential diagnosis based on the patients presenting symptoms. The interaction and sharing

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

Texas has a rapidly growing population with complex healthcare needs, but has limited resources in terms of healthcare provider workforce. There is an expanding need for healthcare in Texas even without taking federal reform into account. Currently, more than forty percent of states have adopted full practice authority licensure and practice laws for Advanced Practice Registered Nurses (APRN). Texas is not one of them. Currently, APRN’s are regulated by both the Texas Board of Nursing and the Texas Medical Board. Passage of Senate Bill 681 would grant full practice authority to APRN’s, and therefore be regulated exclusively by the state nursing board.

Advanced Practice Registered Nurse (APRN) has evolved tremendously since it was establish in 1965 to service vulnerable populations, however there are still barriers that must be addressed in order to free APRNs from limitation imposed by state scope of practice (SOP) laws and payers, which disrupts health care financing/costs, access, delivery, and quality patient care. Currently, only one third of the states in the U.S. permit APRNs to fully practice within their scope without limitations (Hain & Fleck, 2014; Yee, Boukus, Cross, and Samuel, 2013).

Advance practice registered nurses (APRNs) play a critical and prominent role in the management of patients’ health and wellness in the United States. Historically, there have been no clear definitions of APRN roles, varied legal recognition of APRNs across states, and a lack of standardization in education of APRNs. Further, even with our ever-growing presence, there remains a knowledge deficit of the APRN role amongst the public and even healthcare professionals. In order to address these concerns, improve patient safety, and support and encourage APRN practice to the maximum extent of their degrees, the NCSBN APRN Advisory Committee and the APRN Consensus Work Group was formed. In 2008, they published the consensus model

My new role as an adult/gerontology nurse practitioner (AGNP), will be part of team that provides care for Long-term acute care LTAC, Skilled Nursing Facilities (SNF), or Rehabilitation hospital. After gaining considerable experience, my focus in future will be working in home healthcare and primary care clinics. My scenario will involve an organization that provides innovative, collaborative, health care team for one hundred bed LTAC Hospital. Working as an LTAC registered nurse, I noted that, despite the variety of diagnosis, majority of patients’ presents to LTAC hospital have wounds that require complex wound care management. The wounds can range from pressure ulcers to non-healing illness/injury wounds such as diabetic foot ulcer, venous leg ulcers, and post-surgical wounds among others. For this assignment, my scenario will focus on the role of Nurse Practitioner (NP) on skin care and wound managements.

While doing to assessment there are focus areas of chronic condition that the nurse should assist

Mr. Mustard fell down on his driveway three weeks ago. He has now presented to the clinic of Nurse Practitioner (NP) with chief complains of worsening left-sided headache, photophobia, unequal pupillary reaction, and dysphasia. Mr. Mustard takes Coumadin to lower the risk of stroke due to atrial fibrillation. Mr. Mustard’s presenting symptoms along with his higher age (70 years), history of hypertension and being on Coumadin regimen, should be considered as red flags and need urgent attention and evaluation. Based on the subjective interview, Mr. Mustard denies any previous history of brain injuries, which is also confirmed by the NP during physical examination. The NP considers that Mr. Mustard has suffered from traumatic brain injury likely

I just wanted to thank you for your time and consideration for the Nurse Practitioner position. It was a pleasure meeting everyone and learning more about the opportunities within the emergency medicine group.

20. Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing.

This mean depending in what state the advance practice nurse is working in they may be under supervision of a physician or in collaboration with them. “Some states allow nurse practitioners to practice without physician oversight, or 'independently'” (). “Other states require physician oversight for nurse practitioner practice, prescribing, or both. States differ in the language they use to describe oversight” (). “The American Nurses Association defines collaboration as physicians and nurses or NPs working together as colleagues, working interdependently within the boundaries of their scope of practice"

Examining the competencies for the training for the SpNS nurses has raised questions about the direction of the program and the RNST competencies project. We will meet next week (12/8) to discuss the program, refocus the project and examine what we have done so far. I will be working on the concept and structure of a survey to determine the in-house training capability and resources of CHDs, which I will send for your consideration.

I am Delcina Augustin Doreus. My hometown is Miami, but I am now residing in Tampa, Florida. I am a Registered Nurse working as a Clinical Nurse Educator at the James A. Haley Veteran Hospital. I started my career in 2002 working as an Emergency Room Registered Nurse holding only an Associate degree in nursing. In 2010, I attended South University and in 2011 earned my Bachelor of Science in Nursing. In 2013, I once again graduated from South University with a Master in Public Administration. I am married with two girls soon to be three years old.

This week has started with a bang! I learned last Friday that my preceptor does not want to finish precepting me because she felt I was not competent enough. I do not know why she would choose to abandon a student rather than choose to attempt to teach them. I do not expect to be fully competent at being a nurse practitioner or completing a comprehensive assessment at this point. We have not even completed going through all of the body systems. Perhaps the problem was that most of her clients were children between the ages of 2 months to 15 years and this is the last section that we study in this course, so I was not able to answer all of her questions that she would constantly blurt out, such as what is the blood pressure range for a 3-year-old

Mary was seen today following a repeat chest x-ray, which reassuringly shows almost complete resolution of the effusion with just some mild pleural thickening seen in the right base, which is a reaction to the parapneumonic effusion.